Application For Employment

Application For EmploymentPersonal InformationLast Name: .. Middle Initial: .. First Name: ..Address: .. City: ..Province: .. Postal Code: .. Home Phone #: ..Alternate Telephone #: .. E-mail: ..Have you worked at Wal- mart before: No Ye s If yes, which store: .. If yes, note dates: ..Is there someone you would like to refer for a position at Wal- mart ?Name: .. Contact Information: ..PositionPosition applying for: .. Seasonal /Temporary ..Are you interested in: Full Time (Min. of 28 hrs per week) Peak Time (Less than 28 hrs per week)How did you learn about this opportunity? ..AvailabilityDate available to start (dd/mm/yyyy): ..Indicate when you are available to be scheduled (specify or ). Due to the nature of our business, the more available you are, the more opportunities we can consider you SundayMondayTuesdayWednesdayThursdayFrid ayFrom ToOvernight yes/noEducationTell us the highest or equivalent level completedInstitution TypeCompletionType of Certifi cation/Diploma/Degree ReceivedHigh School Year Completed 1 2 3 4 5 Post Secondary 1 2 3 4 5 Employment History Current/Last Position Title.

On the fi rst day of employment I agree to provide Wal-Mart Canada Corp. proof of my age (as required for company benefi t plans and similar administration), Social Insurance Number and appropriate credentials as may be required.

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